EVERGREEN AT LAKEPORT, L.L.C.

Skilled Nursing Facility

Active Organization
NPI: 1699723460

Practice Address

1291 CRAIG AVE
Lakeport, CA 95453

Phone: (707) 263-6382

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 010000142 (CA)

Frequently Asked Questions

NPI 1699723460 is the National Provider Identifier for EVERGREEN AT LAKEPORT, L.L.C., a Skilled Nursing Facility provider located in Lakeport, CA. This NPI was enumerated on May 4, 2006.

Quick Facts

NPI
1699723460
Type
Organization
Enumerated
May 4, 2006
Last Updated
Jan 30, 2017

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